Final Exam: NR565/ NR 565 (Latest 2023/
2024 Update) Advanced Pharmacology
Exam Review| Questions and Verified
Answers -Chamberlain
1. A patient has a TSH of .28, a free T4 of 3, and a free T3 over 650. What medication
should she be started on?
✓ Answer: Methimazole, PTU, radioactive iodine. These labs indicate
hyperthyroidism. Treatment for thyroid storm: K iodide or strong iodine
solution to suppress thyroid release. Methimazole to suppress thyroid
synthesis.
2. When is it appropriate to increase insulin needs?
✓ Answer: Pregnancy (after first trimester), stress, infection, weight loss,
adolescent growth spurt. DECREASE for exercise and first trimester.
3. What is the TDD of a person that weighs 70kg?
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question?
✓ Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long acting
and 50% rapid acting)
✓ 500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then (meal
carbs) 50 divided 12= 4.1 units with short acting insulin
4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it."
✓ Answer: Of the long-acting medications, ONLY NPH the intermediate
duration is suitable for mixing with the short action insulins.
5. A women who is taking Pioglitazone states, "I'm glad that this medication promotes
weight loss."
✓ Answer: First this medication promotes increase in LDL levels, which
increases cardiovascular risk. Also, she's a female so speak about
exercise and weight bearing exercise d/t possible increased risk for
fractures.
6. Glucocorticoid MOA
✓ Answer: Most effective in long-term control of airway inflammation
7. Cromolyn MOA
✓ Answer: Used as prophylaxis for mild to moderate asthma
8. Monoclonal Antibodies MOA
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